H 3508 General Bill, By G.M. Smith, Henderson, Loftis, J.E. Smith, Bedingfield, Bingham, Anthony, Anderson, McKnight, Bannister, Finlay, Forrester, Funderburk, Gambrell, Hamilton, Huggins, Simrill, Spires, Pope, Rivers and RileySummary: Medical Aspects of Advanced Practice of Registered Nursing Act A BILL TO AMEND THE CODE OF LAWS OF SOUTH CAROLINA, 1976, SO AS TO ENACT THE "MEDICAL ASPECTS OF ADVANCED PRACTICE REGISTERED NURSING ACT"; BY ADDING ARTICLE 3 TO CHAPTER 47, TITLE 40 SO AS TO PROVIDE THAT ADVANCED PRACTICE REGISTERED NURSES MUST PRACTICE PURSUANT TO WRITTEN PRACTICE AGREEMENTS, TO PROVIDE REQUIREMENTS FOR THESE WRITTEN PRACTICE AGREEMENTS, TO DEFINE NECESSARY TERMS, TO REQUIRE THE BOARD OF NURSING AND THE BOARD OF MEDICAL EXAMINERS TO JOINTLY PROMULGATE SPECIFIC REGULATIONS CONCERNING ADVANCED PRACTICE REGISTERED NURSES, TO CREATE A JOINT COMMITTEE TO ASSIST THE BOARD OF NURSING AND THE BOARD OF MEDICAL EXAMINERS ON MATTERS RELATED TO MEDICAL ASPECTS OF ADVANCED PRACTICE REGISTERED NURSING, TO PROVIDE FOR THE COMPOSITION OF THE COMMITTEE AND ITS POWERS AND DUTIES, TO PROVIDE RECUSAL AND CONFLICT OF INTEREST REQUIREMENTS FOR EX OFFICIO COMMITTEE MEMBERS AND TO REQUIRE OTHER COMMITTEE MEMBERS TO FOLLOW CONFLICT OF INTEREST RULES AND RECUSAL RULES ADOPTED BY THE COMMITTEE, TO PROVIDE AN EXEMPTION FOR ADVANCED PRACTICE REGISTERED NURSES EMPLOYED BY THE UNITED STATES GOVERNMENT WHEN THEIR SERVICES ARE PROVIDED SOLELY UNDER THE DIRECTION AND CONTROL OF THE UNITED STATES GOVERNMENT, AND TO PROVIDE THE DIRECTOR OF THE DEPARTMENT OF LABOR, LICENSING AND REGULATION MAY EMPLOY ADDITIONAL STAFF AS NECESSARY FOR THE PERFORMANCE OF THE DEPARTMENT'S DUTIES RELATED TO THIS ACT; TO AMEND SECTION 40-33-20, RELATING TO DEFINITIONS IN THE NURSE PRACTICE ACT, SO AS TO MAKE CONFORMING CHANGES AND DEFINE NECESSARY TERMS; TO AMEND SECTION 40-33-34, RELATING TO THE PERFORMANCE OF DELEGATED MEDICAL ACTS BY ADVANCED PRACTICE REGISTERED NURSES, SO AS TO MODIFY SUPERVISION REQUIREMENTS WITH RESPECT TO PRACTICE SITE PROXIMITY TO THE SUPERVISING PHYSICIAN AND THE NUMBER OF ADVANCED PRACTICE REGISTERED NURSES THAT MAY PRACTICE WITH ONE PHYSICIAN, AND TO PROVIDE CIRCUMSTANCES IN WHICH ADVANCED PRACTICE REGISTERED NURSES MAY PRESCRIBE SCHEDULE II DRUGS; TO AMEND SECTION 40-33-110, RELATING TO GROUNDS OF DISCIPLINE BY THE BOARD OF NURSING, SO AS TO INCLUDE ENGAGING IN PRACTICE AS CERTAIN LICENSEES OF THE BOARD OF NURSING WITHOUT A COMPLIANT WRITTEN PRACTICE AGREEMENT IN PLACE, FAILING TO FOLLOW OR COMPLY WITH A WRITTEN PRACTICE AGREEMENT AUTHORIZING PRACTICE AS CERTAIN LICENSEES OF THE BOARD OF NURSING, AND KNOWINGLY ALLOWING ONESELF TO BE MISREPRESENTED AS A PHYSICIAN; TO AMEND SECTION 40-47-20, RELATING TO DEFINITIONS CONCERNING PHYSICIANS AND MISCELLANEOUS HEALTH CARE PROFESSIONALS, SO AS TO MAKE CONFORMING CHANGES AND DEFINE NECESSARY TERMS; TO AMEND SECTION 40-47-110, RELATING TO GROUNDS FOR DISCIPLINE BY THE BOARD OF MEDICAL EXAMINERS, SO AS TO INCLUDE ENGAGING IN PRACTICE AS CERTAIN LICENSEES OF THE BOARD OF NURSING WITHOUT A COMPLIANT WRITTEN PRACTICE AGREEMENT IN PLACE, AND FAILING TO FOLLOW OR COMPLY WITH A WRITTEN PRACTICE AGREEMENT AUTHORIZING PRACTICE AS CERTAIN LICENSEES OF THE BOARD OF NURSING; AND TO AMEND SECTION 40-47-195, RELATING TO SUPERVISING PHYSICIANS AND SCOPE OF PRACTICE GUIDELINES FOR PRACTITIONERS SUPERVISED BY PHYSICIANS, SO AS TO MAKE CONFORMING CHANGES AND TO MODIFY SUPERVISION REQUIREMENTS WITH RESPECT TO PRACTICE SITE PROXIMITY TO THE SUPERVISING PHYSICIAN.View full textView Fiscal Impact